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  5. PATRICIA ANN HOMES, INC.

PATRICIA ANN HOMES, INC.

Company Details

Name: PATRICIA ANN HOMES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 08 Dec 1961 (63 years ago)
Entity Number: 143151
ZIP code: 10901
County: Rockland
Place of Formation: New York
Address: 34 BAYARD LANE N, SUFFERN, NY, United States, 10901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATRICIA ANN HOMES, INC 2013 136152889 2015-08-12 PATRICIA ANN HOMES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-10-29
Business code 236110
Sponsor’s telephone number 8455040809
Plan sponsor’s mailing address 34 BAYARD LANE, SUFFERN, NY, 10901
Plan sponsor’s address 34 BAYARD LANE, SUFFERN, NY, 10901

Number of participants as of the end of the plan year
Active participants 1

Signature of
Role Plan administrator
Date 2015-08-12
Name of individual signing MAUREEN EMMERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-12
Name of individual signing MAUREEN EMMERT
Valid signature Filed with authorized/valid electronic signature
PATRICIA ANN HOMES, INC. PENSION TRUST 2011 136152889 2014-11-06 PATRICIA ANN HOMES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-10-29
Business code 236110
Sponsor’s telephone number 8457295598
Plan sponsor’s mailing address 34 BAYARD LANE, SUFFERN, NY, 10901
Plan sponsor’s address 34 BAYARD LANE, SUFFERN, NY, 10901

Plan administrator’s name and address
Administrator’s EIN 136152889
Plan administrator’s name PATRICIA ANN HOMES, INC.
Plan administrator’s address 34 BAYARD LANE, SUFFERN, NY, 10901
Administrator’s telephone number 8457295598

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2014-11-06
Name of individual signing MAUREEN EMMERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-11-06
Name of individual signing MAUREEN EMMERT
Valid signature Filed with authorized/valid electronic signature
PATRICIA ANN HOMES, INC. PENSION TRUST 2010 136152889 2014-11-06 PATRICIA ANN HOMES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-10-29
Business code 236110
Sponsor’s telephone number 8459420472
Plan sponsor’s mailing address 34 BAYARD LANE, SUFFERN, NY, 10901
Plan sponsor’s address 34 BAYARD LANE, SUFFERN, NY, 10901

Plan administrator’s name and address
Administrator’s EIN 136152889
Plan administrator’s name PATRICIA ANN HOMES, INC.
Plan administrator’s address 34 BAYARD LANE, SUFFERN, NY, 10901
Administrator’s telephone number 8459420472

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2014-11-06
Name of individual signing MAUREEN EMMERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-11-06
Name of individual signing MAUREEN EMMERT
Valid signature Filed with authorized/valid electronic signature
PATRICIA ANN HOMES, INC. PENSION PLAN TRUST 2009 136152889 2010-08-04 PATRICIA ANN HOMES, INC. No data
File View Page
Three-digit plan number (PN) 001
Plan sponsor’s mailing address 19 CAPT. FALDERMEYER DRIVE, STONY POINT, NY, 10980
Plan sponsor’s address 19 CAPT. FALDERMEYER DRIVE, STONY POINT, NY, 10980

Plan administrator’s name and address
Administrator’s EIN 136152889
Plan administrator’s name PATRICIA ANN HOMES, INC.
Plan administrator’s address 19 CAPT. FALDERMEYER DRIVE, STONY POINT, NY, 10980

Chief Executive Officer

Name Role Address
LARS JACOBSEN Chief Executive Officer 34 BAYARD LANE N, SUFFERN, NY, United States, 10901

DOS Process Agent

Name Role Address
LARS JACOBSEN DOS Process Agent 34 BAYARD LANE N, SUFFERN, NY, United States, 10901

History

Start date End date Type Value
2002-12-30 2014-05-19 Address 19 CAPT FALDERMAYER DR, STONY POINT, NY, 10980, USA (Type of address: Chief Executive Officer)
2002-12-30 2014-05-19 Address 19 CAPT FALDERMEYER DR, STONY POINT, NY, 10980, USA (Type of address: Principal Executive Office)
2002-12-30 2014-05-19 Address 19 CAPT FALDERMEYER DR, STONY POINT, NY, 10980, USA (Type of address: Service of Process)
1961-12-08 2002-12-30 Address 30 FERNWOOD DRIVE, NEW CITY, NY, 10956, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140519002637 2014-05-19 BIENNIAL STATEMENT 2013-12-01
120109002673 2012-01-09 BIENNIAL STATEMENT 2011-12-01
071212002083 2007-12-12 BIENNIAL STATEMENT 2007-12-01
060118002922 2006-01-18 BIENNIAL STATEMENT 2005-12-01
031121002084 2003-11-21 BIENNIAL STATEMENT 2003-12-01
021230002672 2002-12-30 BIENNIAL STATEMENT 2001-12-01
B727881-2 1989-01-11 ASSUMED NAME CORP INITIAL FILING 1989-01-11
300117 1961-12-08 CERTIFICATE OF INCORPORATION 1961-12-08

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1867412 Intrastate Non-Hazmat 2024-02-06 22300 2024 1 1 Private(Property)
Legal Name PATRICIA ANN HOMES INC
DBA Name -
Physical Address 34 BAYARD LANE N, SUFFERN, NY, 10901, US
Mailing Address 34 BAYARD LANE N, SUFFERN, NY, 10901, US
Phone (845) 504-0809
Fax -
E-mail 80JA@OPTONLINE.NET

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Related by officers

LARS JACOBSEN

LARS JACOBSEN MUSIC, INC.

Related by address

No related companies by address

Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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